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Anxiety: Body, Behavior, and Beliefs. Brian D. Ott, Ph.D. Massachusetts General Hospital Harvard Medical School Massachusetts School of Professional Psychology. Audience Participation. What just happened?. Anxiety: Body, Behavior, and Beliefs. Body Response Behavioral Response Beliefs.
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Anxiety: Body, Behavior, and Beliefs Brian D. Ott, Ph.D. Massachusetts General Hospital Harvard Medical School Massachusetts School of Professional Psychology www.drbrianott.net
Audience Participation www.drbrianott.net
What just happened? www.drbrianott.net
Anxiety: Body, Behavior, and Beliefs • Body Response • Behavioral Response • Beliefs www.drbrianott.net
Anxiety: Body, Behavior, and Beliefs • Body Response • Behavioral Response • Beliefs www.drbrianott.net
Anxiety: Body, Behavior, and Beliefs • Body Response • Behavioral Response • Beliefs www.drbrianott.net
Anxiety: Body, Behavior, and Beliefs Were you feeling anxiety or fear? www.drbrianott.net
Anxiety or Fear? Fear helps you stay alive in an immediately dangerous situation. www.drbrianott.net
Anxiety or Fear? Anxiety gets you ready for an immediately dangerous situation… www.drbrianott.net
Anxiety or Fear? that may not be as likely to happen or dangerous as you think. And… www.drbrianott.net
Anxiety or Fear? …interferes with living your life. www.drbrianott.net
Anxiety: Body, Behavior, and Beliefs same kind of response but fear helps us move through life anxiety gets in our way www.drbrianott.net
Anxiety: Body, Behavior, and Beliefs “Lots-O-Labels” Phobia Panic Disorder Generalized Anxiety Disorder Post Traumatic Stress Disorder Obsessive Compulsive Disorder www.drbrianott.net
Anxiety: Body, Behavior, and Beliefs “Lots-O-Labels” Phobia Panic Disorder Generalized Anxiety Disorder Post Traumatic Stress Disorder Obsessive Compulsive Disorder www.drbrianott.net
Johnny and Max www.drbrianott.net
Johnny and Max www.drbrianott.net
Johnny and Max www.drbrianott.net
“It doesn’t make sense.” “It’s just a fence, a bell, a building.” “Nothing bad about them, but I can’t stop the feeling.” “Why can’t I talk myself out of this?” www.drbrianott.net
Phobias Answer: www.drbrianott.net
Phobias www.drbrianott.net
Johnny and Max www.drbrianott.net
Johnny and Max Trigger Body’s Emergency Response System www.drbrianott.net
“It doesn’t make sense.” “It’s just a fence, a bell, a building.” “Nothing bad about them, but I can’t stop the feeling.” “Why can’t I talk myself out of this?” www.drbrianott.net
Phobias So how do we help Johnny? www.drbrianott.net
Phobias So how do we help Johnny? How do we stop pooch drooling? www.drbrianott.net
Phobias So how do we help Johnny? How do we stop pooch drooling? How do we stop Brian Ott drooling? www.drbrianott.net
Phobias Talk some sense into me! www.drbrianott.net
Phobias Solution: Hide the meat and ring that bell. www.drbrianott.net
Johnny and Max www.drbrianott.net
Phobias www.drbrianott.net
Phobias www.drbrianott.net
Problem: www.drbrianott.net
Phobias More you avoid, the more you will avoid. The more you avoid, the less chance of conditioned response extinction. www.drbrianott.net
Phobias Solution: www.drbrianott.net
Phobias What have we learned so far? Part of anxiety has to do with a learned physical “reflex” - the BODY on Automatic Conditioned body reactions have to be reduced by a change in BEHAVIOR – “All action, no talk.” Need to move in small steps towards the situation starting at a middle level of anxiety. www.drbrianott.net
Johnny and Max www.drbrianott.net
Panic Disorder What is a Panic Attack? What’s the difference between a Phobia and a Panic Attack? www.drbrianott.net
Panic Disorder www.drbrianott.net
Panic Disorder Involves one of three concerns Losing control (usually in public) Going crazy Dying www.drbrianott.net
Panic Disorder Seems perfectly reasonable. www.drbrianott.net
Panic Disorder www.drbrianott.net
Panic Disorder Panic Attack www.drbrianott.net
Panic Disorder What to do with a Panic Attack? Can’t Overcome a Strong Rush of Adrenaline Distraction and Relaxation often make things worse. (note: do relaxation techniques when feeling good) “Can’t beat them, join them.” www.drbrianott.net
Panic Disorder Panic Attack www.drbrianott.net